Regional differences in the associations of diet quality, obesity, and possible sarcopenia using the seventh Korea National Health and Nutrition Examination Survey (2016-2018)
OBJECTIVES Sarcopenic obesity is closely related to aging and the prevalence of various chronic diseases and frailty. The purpose of this study was to analyze whether diet quality is related to obesity, sarcopenia, and sarcopenic obesity, and if so, to explore the difference in that relationship bet...
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| Format: | Article |
| Language: | English |
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Korean Society of Epidemiology
2023-06-01
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| Series: | Epidemiology and Health |
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| Online Access: | http://www.e-epih.org/upload/epih-45-e2023059.pdf |
| _version_ | 1797305279696601088 |
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| author | Hyeongyeong Lee Sohyun Park |
| author_facet | Hyeongyeong Lee Sohyun Park |
| author_sort | Hyeongyeong Lee |
| collection | DOAJ |
| description | OBJECTIVES Sarcopenic obesity is closely related to aging and the prevalence of various chronic diseases and frailty. The purpose of this study was to analyze whether diet quality is related to obesity, sarcopenia, and sarcopenic obesity, and if so, to explore the difference in that relationship between urban and rural settings. METHODS Using data from the Korea National Health and Nutrition Examination Survey of 2016-2018, a total of 7,151 participants aged 40 years or older were analyzed. Sarcopenia was diagnosed using handgrip strength. Diet quality was assessed using Korea Healthy Eating Index (KHEI) scores, and obesity was determined based on participants’ abdominal circumference. Multinomial logistic analysis was used for testing statistical significance. RESULTS Rural participants had significantly lower KHEI scores and a higher prevalence of sarcopenic obesity than urban participants. The study findings demonstrate that participants without obesity, sarcopenia, or sarcopenic obesity had significantly higher KHEI scores in both rural and urban settings. Multinomial regression analysis further revealed that a higher KHEI score was associated with a lower risk of sarcopenia and sarcopenic obesity among urban residents, while only the risk of obesity was lower with higher diet quality scores among rural residents. CONCLUSIONS Since diet quality and health status were lower in rural areas, it is important to address this regional disparity with appropriate policy measures. To mitigate urban health disparities, urban residents in poor health with few resources should also be supported. |
| first_indexed | 2024-03-08T00:24:35Z |
| format | Article |
| id | doaj.art-21b7ed2bb76b49e2b22fc4ba214242f7 |
| institution | Directory Open Access Journal |
| issn | 2092-7193 |
| language | English |
| last_indexed | 2024-03-08T00:24:35Z |
| publishDate | 2023-06-01 |
| publisher | Korean Society of Epidemiology |
| record_format | Article |
| series | Epidemiology and Health |
| spelling | doaj.art-21b7ed2bb76b49e2b22fc4ba214242f72024-02-16T01:04:24ZengKorean Society of EpidemiologyEpidemiology and Health2092-71932023-06-014510.4178/epih.e20230591421Regional differences in the associations of diet quality, obesity, and possible sarcopenia using the seventh Korea National Health and Nutrition Examination Survey (2016-2018)Hyeongyeong Lee0Sohyun Park1 Department of Food Science and Nutrition, Hallym University, Chuncheon, Korea Department of Food Science and Nutrition, Hallym University, Chuncheon, KoreaOBJECTIVES Sarcopenic obesity is closely related to aging and the prevalence of various chronic diseases and frailty. The purpose of this study was to analyze whether diet quality is related to obesity, sarcopenia, and sarcopenic obesity, and if so, to explore the difference in that relationship between urban and rural settings. METHODS Using data from the Korea National Health and Nutrition Examination Survey of 2016-2018, a total of 7,151 participants aged 40 years or older were analyzed. Sarcopenia was diagnosed using handgrip strength. Diet quality was assessed using Korea Healthy Eating Index (KHEI) scores, and obesity was determined based on participants’ abdominal circumference. Multinomial logistic analysis was used for testing statistical significance. RESULTS Rural participants had significantly lower KHEI scores and a higher prevalence of sarcopenic obesity than urban participants. The study findings demonstrate that participants without obesity, sarcopenia, or sarcopenic obesity had significantly higher KHEI scores in both rural and urban settings. Multinomial regression analysis further revealed that a higher KHEI score was associated with a lower risk of sarcopenia and sarcopenic obesity among urban residents, while only the risk of obesity was lower with higher diet quality scores among rural residents. CONCLUSIONS Since diet quality and health status were lower in rural areas, it is important to address this regional disparity with appropriate policy measures. To mitigate urban health disparities, urban residents in poor health with few resources should also be supported.http://www.e-epih.org/upload/epih-45-e2023059.pdfsarcopeniaobesitydiethealthy eating indexhand grip strength |
| spellingShingle | Hyeongyeong Lee Sohyun Park Regional differences in the associations of diet quality, obesity, and possible sarcopenia using the seventh Korea National Health and Nutrition Examination Survey (2016-2018) Epidemiology and Health sarcopenia obesity diet healthy eating index hand grip strength |
| title | Regional differences in the associations of diet quality, obesity, and possible sarcopenia using the seventh Korea National Health and Nutrition Examination Survey (2016-2018) |
| title_full | Regional differences in the associations of diet quality, obesity, and possible sarcopenia using the seventh Korea National Health and Nutrition Examination Survey (2016-2018) |
| title_fullStr | Regional differences in the associations of diet quality, obesity, and possible sarcopenia using the seventh Korea National Health and Nutrition Examination Survey (2016-2018) |
| title_full_unstemmed | Regional differences in the associations of diet quality, obesity, and possible sarcopenia using the seventh Korea National Health and Nutrition Examination Survey (2016-2018) |
| title_short | Regional differences in the associations of diet quality, obesity, and possible sarcopenia using the seventh Korea National Health and Nutrition Examination Survey (2016-2018) |
| title_sort | regional differences in the associations of diet quality obesity and possible sarcopenia using the seventh korea national health and nutrition examination survey 2016 2018 |
| topic | sarcopenia obesity diet healthy eating index hand grip strength |
| url | http://www.e-epih.org/upload/epih-45-e2023059.pdf |
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